Provider Demographics
NPI:1326649039
Name:OVERMIER, CASSAUNDRA L (RBT)
Entity type:Individual
Prefix:
First Name:CASSAUNDRA
Middle Name:L
Last Name:OVERMIER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47330-1131
Mailing Address - Country:US
Mailing Address - Phone:765-914-7427
Mailing Address - Fax:
Practice Address - Street 1:410 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IN
Practice Address - Zip Code:47330-1131
Practice Address - Country:US
Practice Address - Phone:765-914-7427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-20-129258106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician